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1104332709
SHANAY JOHNSON
STUART, FL
NPI
1104332709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-12-18
Last Update Date
2020-09-01
Business Address
SHANAY JOHNSON
4575 SE DIXIE HWY
STUART, FL 34997-6826
Phone number: 855-832-6727
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Mailing Address
SHANAY JOHNSON
4575 SE DIXIE HWY
STUART, FL 34997-6826
Phone number:
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